Active NPI
Jeffrey Scott Jackson
- Pharmacist
- Lake Toxaway, NC
National Provider Identifier
1760589477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 10953
- Practice address
- 16821 Rosman Hwy
Lake Toxaway, NC 28747-9593 - Phone
- (828) 884-3784
- Fax
- (828) 884-3792
- NPI assigned
- Sep 17, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 10953 | NC | Primary |
Addresses
Primary practice location
16821 Rosman Hwy
Lake Toxaway, NC 28747-9593
Mailing address
426 Maple St
Brevard, NC 28712-3879
Phone (828) 966-4462
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10953 | NC | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jeffrey Scott Jackson | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Toxaway Pharmacy
- Community/Retail Pharmacy
- Lake Toxaway, NC
- NPI 1932264355
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1760589477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "426 MAPLE ST",
"city": "BREVARD",
"state": "NC",
"postal_code": "287123879",
"telephone_number": "828-966-4462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16821 ROSMAN HWY",
"city": "LAKE TOXAWAY",
"state": "NC",
"postal_code": "287479593",
"telephone_number": "828-884-3784",
"fax_number": "828-884-3792"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "JEFFREY",
"middle_name": "SCOTT",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "10953",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Toxaway, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.